# BOLINGBROOK FOOT SPECIALISTS LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeffrey M Mackler DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396811824
- **Authorized official:** DR. JEFFREY M MACKLER DPM (OWNER)
- **Authorized official phone:** (630) 759-4411

## Contact information

- **Practice address:** 454 W BOUGHTON ROAD, BOLINGBROOK, IL 60440-1378
- **Practice address phone:** (630) 759-4411
- **Practice address fax:** (630) 759-6063
- **Mailing address:** 454 W BOUGHTON RD SUITE A, BOLINGBROOK FOOT SPECIALISTS, BOLINGBROOK, IL 60440-1378
- **Mailing address phone:** (630) 759-4411
- **Mailing address fax:** (630) 759-6063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016002706 | IL | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 09/30/2014